Osteopathic Clinical Case Study

Pregnancy & Pelvic Pain
A Student Case Guide

A structured, evidence-informed walkthrough of a pregnant patient presenting with pelvic girdle pain — from initial history-taking through to safe osteopathic management.

~25 min read
Osteopathic Students & Practitioners
Evidence-Based & Safety-Focused

Section 01

Case History

A thorough subjective history is the foundation of safe clinical reasoning in pregnancy. Below is the presenting case.

👩

Patient Snapshot

Anonymised for educational use

Name: Sarah (pseudonym)

Age: 31 years

Occupation: Primary school teacher

Gestation: 26 weeks (2nd trimester)

Gravida / Para: G2 P1 (one previous uncomplicated vaginal delivery)

GP Referral: Yes — cleared for manual therapy

Obstetric care: Midwife-led, no known complications

🩺

Chief Complaint

Bilateral posterior pelvic pain, worse on the right, radiating into the right buttock and posterior thigh. Onset at approximately 20 weeks gestation, gradually worsening.

Bilateral Posterior pelvis Right-dominant
📊

Pain Characteristics (SOCRATES)

  • Site: Posterior pelvis, SIJ region bilaterally
  • Onset: Gradual, ~20 weeks gestation
  • Character: Deep aching, occasional sharp catch
  • Radiation: Right posterior thigh (not below knee)
  • Associated: Pubic symphysis tenderness
  • Timing: Worse end of day, prolonged standing/walking
  • Exacerbating: Stairs, rolling in bed, single-leg stance
  • Severity: 6/10 NRS at worst, 3/10 at rest
📋

Past Medical History

  • Mild PGP in first pregnancy (resolved postpartum)
  • No history of pelvic fracture or trauma
  • No inflammatory arthropathy
  • No urinary tract infections (current)
  • No history of DVT or clotting disorders
💊

Medications & Obs. History

  • Folic acid & pregnancy multivitamin
  • Paracetamol PRN (approved by GP)
  • No anticoagulants or steroids
  • Anomaly scan: normal at 20 weeks
  • Placenta: posterior, not low-lying
🏃

Social & Functional History

  • Full-time teacher — on feet 6+ hrs/day
  • Lives in 2-storey house (stairs daily)
  • Toddler at home (lifting & carrying)
  • Stopped yoga at 22 weeks due to pain
  • Non-smoker; no alcohol

🔍 Systems Review — Key Negatives (Safety Screen)

  • No vaginal bleeding or discharge
  • No uterine contractions or tightenings
  • No reduced fetal movement
  • No fever, chills, or night sweats
  • No bowel or bladder dysfunction
  • No saddle anaesthesia
  • No leg swelling, redness, or calf pain
  • No severe headache or visual disturbance

Section 02

Differential Diagnoses

Pelvic pain in pregnancy has a broad differential. Systematic reasoning helps distinguish musculoskeletal causes from those requiring urgent referral.

Condition Key Features Distinguishing Factors Priority
Pelvic Girdle Pain (PGP) Posterior pelvic pain, SIJ tenderness, worse with loading Positive ASLR, P4 test; no neurological deficit Primary Dx
Symphysis Pubis Dysfunction (SPD) Anterior pelvic pain, pubic symphysis tenderness Pain on adduction, waddling gait; often co-exists with PGP Co-diagnosis
Lumbar Disc Herniation / Sciatica Radiating leg pain, dermatomal pattern, possible neuro signs Pain below knee, positive SLR, neurological deficit Rule out
Piriformis Syndrome Deep buttock pain, sciatic-like radiation Positive FAIR test, pain on hip IR; no SIJ tenderness Rule out
Urinary Tract Infection (UTI) Dysuria, frequency, suprapubic pain Urinalysis positive; systemic symptoms if pyelonephritis Screen & refer
Deep Vein Thrombosis (DVT) Unilateral leg swelling, calf pain, warmth Pregnancy is a major risk factor; Wells score; urgent referral Urgent referral
Preterm Labour Regular uterine contractions, pelvic pressure <37 weeks; cervical changes; obstetric emergency Emergency
Placenta Praevia / Abruption Vaginal bleeding, abdominal pain, uterine rigidity Painless bleeding (praevia) vs painful (abruption) Emergency
Sacral Stress Fracture Severe localised sacral pain, unable to weight-bear Rare; associated with osteoporosis of pregnancy; MRI confirms Urgent imaging
Inflammatory Arthropathy (e.g. AS) Morning stiffness >1hr, improves with activity Pre-existing diagnosis; elevated inflammatory markers Consider if atypical

⚡ Clinical Reasoning Tip

In pregnancy, always consider obstetric causes first. Only proceed with musculoskeletal assessment once red flags have been screened and excluded. Collaborate with the patient's midwife or obstetrician when in doubt.

Section 03

Clinical Examination

Examination in pregnancy requires modification for patient comfort and safety. Avoid prolonged supine positioning after 20 weeks.

👁

Observation

  • Antalgic gait — slight right lean
  • Waddling pattern on walking
  • Increased lumbar lordosis (normal in pregnancy)
  • Anterior pelvic tilt noted in standing
  • No visible swelling or bruising over pelvis
  • Fundal height appropriate for dates
🤲

Palpation

  • Tenderness over right posterior SIJ
  • Mild left SIJ tenderness
  • Pubic symphysis tenderness on direct palpation
  • Tight right piriformis and gluteus medius
  • Thoracolumbar junction — restricted mobility
  • No calf tenderness bilaterally

Special Orthopaedic Tests

Active Straight Leg Raise (ASLR)

Positive bilaterally (R > L). Patient reports difficulty lifting leg without pelvic instability. Improves with manual compression of iliac crests.

PGP indicator

Posterior Pelvic Pain Provocation (P4 / Thigh Thrust)

Positive on right — reproduces familiar posterior pelvic pain. Performed in supine (brief). High sensitivity for SIJ-related PGP.

SIJ provocation

FABER / Patrick's Test

Positive right — pain in posterior pelvis (not groin). Suggests SIJ involvement rather than hip pathology.

SIJ vs hip

Straight Leg Raise (SLR)

Negative bilaterally. No reproduction of leg pain below knee. Reduces likelihood of lumbar disc herniation with nerve root compression.

Disc ruled out

Neurological Screen

Sensation, power, and reflexes intact in both lower limbs. No saddle anaesthesia. No bowel/bladder dysfunction reported.

Neuro intact

Trendelenburg Test

Positive right — pelvis drops on left during right single-leg stance. Indicates right gluteus medius weakness contributing to pelvic instability.

Glute weakness

📌 Examination Modifications in Pregnancy

  • Limit supine time to <3 minutes after 20 weeks
  • Use left lateral tilt or wedge under right hip when supine
  • Avoid any prone positioning
  • Prefer side-lying and seated positions for assessment
  • Monitor for dizziness (aortocaval compression)
  • Always ask about fetal movement before and after

Section 04

Working Diagnosis

Primary Diagnosis

Pelvic Girdle Pain (PGP) — Bilateral SIJ Dysfunction

Consistent with European Guidelines for PGP (Vleeming et al., 2008). Characterised by pain between the posterior iliac crest and gluteal fold, with or without radiation to the posterior thigh, arising in relation to pregnancy.

ICD-10: M53.3 Pregnancy-related Musculoskeletal

Secondary / Co-existing

Symphysis Pubis Dysfunction (SPD) — pubic symphysis tenderness with functional limitation. Often co-presents with PGP and is part of the same pelvic girdle complex.

Co-diagnosis Functional impact
🧠

Pathophysiological Reasoning

Hormonal Changes

Relaxin and progesterone increase ligamentous laxity throughout the pelvic ring, reducing force closure of the SIJ.

Biomechanical Load

Growing uterus shifts centre of gravity anteriorly, increasing compressive and shear forces on the SIJ and pubic symphysis.

Neuromuscular Dysfunction

Inhibition of deep stabilisers (transversus abdominis, pelvic floor, multifidus) reduces form and force closure of the pelvis.

Occupational Factors

Prolonged standing, asymmetric loading (carrying toddler), and stair climbing perpetuate the pain cycle.

📐 Diagnostic Criteria Met (Vleeming et al. 2008)

Location

Pain between posterior iliac crest and gluteal fold ✓

Provocation

Positive P4 test and ASLR ✓

Exclusion

Lumbar spine not primary source; neuro intact ✓

🚨

Critical Safety Section

Red Flags & Contraindications

These findings require immediate cessation of treatment and urgent referral to obstetric or emergency services. Screen at every appointment — red flags can develop between visits.

🩸
Vaginal Bleeding Any amount — may indicate placenta praevia, abruption, or preterm labour. Stop treatment immediately.
🤰
Uterine Contractions Regular tightenings before 37 weeks — possible preterm labour. Refer to maternity unit urgently.
👶
Reduced Fetal Movement Fewer than 10 movements in 2 hours (after 28 weeks). Immediate obstetric assessment required.
🦵
Unilateral Leg Swelling Calf pain, warmth, redness — DVT risk is elevated in pregnancy. Urgent vascular assessment.
🧠
Severe Headache / Visual Changes May indicate pre-eclampsia. Check BP. Refer immediately if BP >140/90 with symptoms.
🌡
Fever & Loin Pain Pyelonephritis or sepsis. Systemic infection in pregnancy requires urgent medical management.
Saddle Anaesthesia / Cauda Equina Numbness in perineum, loss of bladder/bowel control — neurosurgical emergency. Call 999.
🦴
Inability to Weight-Bear Sudden severe pelvic pain with inability to stand — consider sacral stress fracture or symphysis rupture.

⛔ Contraindications to Osteopathic Treatment in Pregnancy

Absolute Contraindications

  • Active vaginal bleeding
  • Placenta praevia (confirmed)
  • Preterm labour (active)
  • Severe pre-eclampsia / eclampsia
  • Ectopic pregnancy (undiagnosed pelvic pain)
  • Acute DVT

Relative Contraindications (Proceed with Caution)

  • History of recurrent miscarriage
  • Cervical incompetence / cerclage in situ
  • Multiple pregnancy
  • Symphysis pubis diastasis >10mm
  • Uncontrolled hypertension
  • Osteoporosis of pregnancy

Section 05

Osteopathic Treatment

Treatment is tailored to the trimester, patient comfort, and clinical findings. Techniques are modified to avoid contraindicated positions and excessive force.

Core Treatment Principles for PGP in Pregnancy

🎯 Goal-Directed

Reduce pain, improve function, and support the patient through pregnancy — not to achieve a structural "correction".

🤝 Collaborative

Work alongside midwife, GP, and physiotherapist. Communicate findings and any concerns promptly.

⚖ Proportionate

Use the least force necessary. Indirect and functional techniques are preferred over high-velocity thrust (HVLA) in pregnancy.

Techniques Used in This Case

Soft Tissue Techniques — Gluteal & Paraspinal Muscles

Rationale: Hypertonic right piriformis and gluteus medius contribute to altered pelvic mechanics and pain. Releasing these muscles improves force closure and reduces referred pain into the posterior thigh.

Position: Left lateral recumbent (side-lying). Pillow between knees for comfort.

Technique: Inhibitory pressure and longitudinal kneading to right piriformis, gluteus medius, and thoracolumbar erector spinae. 3–5 minutes per region.

Precaution: Avoid direct pressure over the SIJ in acute inflammation. Monitor patient comfort throughout.

Muscle Energy Technique (MET) — SIJ & Hip

Rationale: MET uses gentle isometric contractions to restore SIJ mobility and reduce muscle guarding. Safe and effective in pregnancy when performed in side-lying.

Position: Side-lying (left side down). Hip and knee flexed to ~90°.

Technique: Patient gently resists hip extension (posterior innominate dysfunction) for 5 seconds at 20% effort. Repeat 3–5 times. Reassess ASLR post-treatment.

Evidence: Supported by Vleeming et al. (2008) and Pennick & Liddle (2013) Cochrane review on interventions for PGP in pregnancy.

Functional / Indirect Technique — Sacrum

Rationale: The sacrum is central to pelvic mechanics. Indirect technique (moving toward ease) is gentle, non-provocative, and well-tolerated in pregnancy.

Position: Left lateral recumbent. Practitioner contacts sacrum with one hand.

Technique: Gently guide the sacrum into its position of ease (away from restriction). Hold for 60–90 seconds until a release is felt. Avoid any direct thrust.

Note: HVLA to the sacrum or lumbar spine is generally avoided in pregnancy due to risk of increased ligamentous laxity and patient discomfort.

Diaphragm & Thoracolumbar Junction Release

Rationale: The thoracolumbar junction (T12–L2) is a common area of restriction that can reflexly affect pelvic floor tone and SIJ mechanics via the thoracolumbar fascia.

Position: Seated or side-lying.

Technique: Gentle articulation and soft tissue work to T12–L2 region. Diaphragm doming technique in seated position to improve respiratory mechanics and reduce intra-abdominal pressure.

Pelvic Floor Awareness & Breathing Coordination

Rationale: The pelvic floor, diaphragm, transversus abdominis, and multifidus form an integrated pressure management system. Dysfunction in any component affects pelvic stability.

Technique: Guided diaphragmatic breathing with gentle pelvic floor co-activation. Patient is taught to coordinate breath with movement (e.g., exhale on effort when lifting).

Referral: Consider referral to a women's health physiotherapist for formal pelvic floor assessment and rehabilitation.

⛔ Techniques to Avoid in This Case

  • HVLA (high-velocity thrust) to lumbar spine or pelvis
  • Any prone positioning
  • Prolonged supine (>3 min after 20 weeks)
  • Deep pressure directly over pubic symphysis
  • Aggressive SIJ gapping techniques
  • Techniques that provoke uterine contractions

Section 06

Ongoing Management Plan

Effective management of PGP in pregnancy extends beyond the treatment table. A biopsychosocial approach with patient education is essential.

📅

Treatment Frequency & Review

  • Initial course: 4–6 sessions over 6–8 weeks
  • Review after 3 sessions — reassess ASLR and NRS
  • Reduce frequency as symptoms improve
  • Maintenance: monthly until delivery if beneficial
  • Postpartum review at 6–8 weeks
  • Discharge when functional goals achieved
📚

Patient Education

  • Explain PGP — normal in pregnancy, manageable
  • Reassure: does not harm the baby
  • Avoid activities that provoke pain (asymmetric loading)
  • Keep legs together when getting in/out of car
  • Sit to dress — avoid single-leg stance
  • Sleep with pillow between knees (side-lying)
🏋

Exercise & Rehabilitation

  • Gentle pelvic floor activation exercises
  • Clam exercises (side-lying) for glute med
  • Seated ball squeezes for adductor activation
  • Avoid high-impact or asymmetric exercise
  • Swimming / hydrotherapy if tolerated
  • Refer to women's health physio for formal rehab
🩹

Supports & Aids

  • Pelvic support belt (Serola or similar) — trial for 2 weeks
  • Wear during activity, not at rest or in bed
  • Crutches if mobility severely affected
  • Ergonomic assessment at work (standing desk, chair height)
  • Avoid carrying toddler on one hip
🤝

Multidisciplinary Referrals

  • Women's health physiotherapist (pelvic floor)
  • Midwife — update on treatment and progress
  • GP — if pain uncontrolled or red flags emerge
  • Obstetric team — if obstetric concerns arise
  • Occupational therapist — if work significantly affected

📏 Outcome Measures to Track Progress

NRS Pain Score

Numeric Rating Scale (0–10) at rest and on activity. Target: ≤3/10 on activity.

ASLR Score

Active Straight Leg Raise (0–5 scale). Validated for PGP. Target: improvement of ≥1 point.

PSFS

Patient-Specific Functional Scale — patient rates 3 key activities. Tracks meaningful functional goals.

🌸 Postpartum Considerations

PGP often resolves within 3 months postpartum, but ~20% of women have persistent symptoms at 1 year (Wu et al., 2004). Plan a postpartum review at 6–8 weeks. Reassess pelvic floor function, SIJ mobility, and return to activity. Breastfeeding maintains relaxin levels — ligamentous laxity may persist. Gradual return to exercise guided by symptoms.

Summary

Key Learning Points

🎓 Clinical Takeaways

  • PGP affects up to 50% of pregnant women — it is common and treatable
  • Always screen for red flags before and during every treatment session
  • Modify examination and treatment positions for trimester
  • ASLR and P4 test are the most validated tests for PGP
  • Prefer indirect, MET, and soft tissue techniques over HVLA in pregnancy
  • Patient education and self-management are as important as hands-on treatment
  • Collaborate with the obstetric team — you are part of a wider care network

📖 Key References

  • Vleeming A et al. (2008). European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J, 17(6), 794–819.
  • Pennick V & Liddle SD (2013). Interventions for preventing and treating pelvic and back pain in pregnancy. Cochrane Database Syst Rev.
  • Wu WH et al. (2004). Pregnancy-related pelvic girdle pain. Eur Spine J, 13(7), 575–589.
  • NICE (2023). Antenatal care guidelines. National Institute for Health and Care Excellence.
  • General Osteopathic Council (GOsC). Standards of Practice for Osteopaths.